Plantar Psoriasis: A Review of the Literature

Michael Romani; Garrett Biela; Kalen Farr; Ryan Lazar; Marcus Duval; Victoria Trovillion; Tracey C Vlahovic

doi:10.1016/j.cpm.2021.06.009

Plantar Psoriasis: A Review of the Literature

Clin Podiatr Med Surg. 2021 Oct;38(4):541-552. doi: 10.1016/j.cpm.2021.06.009.

Authors

Michael Romani¹, Garrett Biela¹, Kalen Farr¹, Ryan Lazar¹, Marcus Duval¹, Victoria Trovillion¹, Tracey C Vlahovic²

Affiliations

¹ Temple University School of Podiatric Medicine, 148 North 8th Street, Philadelphia, PA 19107, USA.
² Temple University School of Podiatric Medicine, 148 North 8th Street, Philadelphia, PA 19107, USA. Electronic address: traceyv@temple.edu.

PMID: 34538432
DOI: 10.1016/j.cpm.2021.06.009

Abstract

Plantar psoriasis negatively affects the quality of life for patients due to its weight-bearing location. Most therapeutic studies for psoriasis focus on total body surface changes and rarely report specific effects of the plantar and palmar areas. This review focuses on therapeutic options for plantar psoriasis ranging from topical therapy to phototherapy to biological therapy. Treatment should be approached as a stepwise gradient beginning with topicals and progressing to systemics. As always, review of the patient's severity of condition, health status, and impact on quality of life is needed to individualize therapy for the best patient care.

Keywords: Apremilast; Biologic therapy; Combination therapy; Palmoplantar psoriasis; Palmoplantar pustulosis; Phototherapy; Plantar psoriasis.

Publication types

Review

MeSH terms

Humans
Phototherapy
Psoriasis* / diagnosis
Psoriasis* / therapy
Quality of Life*